Individual provider Active NPI

Marilyn Shippey Buron, OTR/L, CHT

  • Hand Occupational Therapist
  • San Diego, CA
National Provider Identifier
1760402929
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
OT3171 Issued in CA
Practice address
9040 Friars Rd
Suite 410
San Diego, CA 92108-5859
Phone
(619) 283-9610
Fax
(619) 283-9692
NPI assigned
Jul 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X OT3171 CA Primary

Addresses

Primary practice location

9040 Friars Rd
Suite 410
San Diego, CA 92108-5859

Mailing address

10713 Ballystock CT
San Diego, CA 92131-3603
Phone (858) 549-9963

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT3171CAMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
San Dieguito Orthopedic Medical Center P C CurrentSince Mar 4, 2022 Accepting new patients
Scripps Encinitas Surgery Center, LLC PastSince Mar 4, 2022 Accepting new patients

Locations

2451 Impala Dr
Carlsbad, CA 92010
Phone (760) 942-4400

332 Santa Fe Dr
Ste 110
Encinitas, CA 92024
Phone (760) 632-4266

332 Santa Fe Dr
Ste 120
Encinitas, CA 92024
Phone (760) 942-4400

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760402929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10713 BALLYSTOCK CT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921313603",
            "telephone_number": "858-549-9963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9040 FRIARS RD",
            "address_2": "SUITE 410",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921085859",
            "telephone_number": "619-283-9610",
            "fax_number": "619-283-9692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURON",
        "first_name": "MARILYN",
        "middle_name": "SHIPPEY",
        "credential": "OTR/L, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "CA",
            "license": "OT3171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.